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Caleb Michael Van Fossen

NPI 1073317517ActiveIndividual· Physical Therapy Assistant· Madison, WI

Physical Therapy Assistant in Madison, Wisconsin, with an NPI issued in April 2025.

Overview

NPI1073317517
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 3, 2025
Last updated in NPPESApr 3, 2025
Certified by providerApr 3, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapist assistants in Madison

All 80 physical therapist assistants in Madison · All physical therapist assistants in Wisconsin